Mulderij, Y. (Yvon) (2014) The effect of task-oriented upper-limb strength training in chronic stroke patients: a pilot study. thesis, Human Movement Sciences.
Full text available on request.Abstract
Objective: To demonstrate the effect of task-oriented upper-limb strength training on upper-limb function in the ICF activities domain in chronic stroke. Design: A pre-post design similar to a cross-over design, but without a control group. Participants: Three participants of at least six months post stroke. Intervention: An eight week (three days/week) program consisting of four weeks of upper-limb task-oriented strength training and four weeks of upper-limb eccentric strength training was carried out. The task-oriented strength training was a bilateral upper-limb training using a movement-based game controller (Able X), incorporated into a handlebar. The participant played games on a PC using the movement-based game controller for 30 minutes. The weight of the handlebar was increased over the intervention period. The eccentric strength training consisted of eccentric exercises with lightweight dumbbells and/or a rubber band for the muscles of the upper-limb. Outcome measures: Action research arm test (ARAT) and upper extremity muscle strength. Results: All participants improved on the ARAT and their upper-limb muscle strength, but no significant effects were found (p = 0.055; ranging from p = 0.297 to p = 0.500). A small effect size was found for the ARAT (d = 0.33) and small to large effect sizes for upper-limb strength (ranging from d = 0.07 to d = 0.82). Conclusions: Given the limited data, it is hard to draw conclusions about the effect of task-oriented upper-limb strength training. It would appear that the findings from this study provide preliminary evidence that improvements due to task-oriented strength training can be expected on upper-limb function in chronic stroke. Keywords: stroke, task-oriented strength training, upper-limb rehabilitation, computer gaming, bilateral training.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Murgia, dr. A. and Hijmans, dr. J.M. and Dekker, dr. R. |
| Faculty: | Medical Sciences |
| Date Deposited: | 06 Apr 2022 07:53 |
| Last Modified: | 06 Apr 2022 07:53 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3042 |
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